A to Z Family Services, Inc.
Organization Active NPI Social Worker · Malad, ID
NPI 1396046835 · NPPES record last updated Jun 14, 2011
Key facts
- NPI
- 1396046835
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Social Worker 104100000X
- License
- LMSW-30276 (ID)
- Legal business name
- A TO Z FAMILY SERVICES, INC.
- Practice address
- 44 N Main
Malad, ID 83252 - Phone
- (208) 766-2389
- Fax
- (208) 766-2385
- NPI assigned
- Nov 16, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Rebecca J Perrenoud, LCSW CIBI ACADC
- Title
- Ceo
- Phone
- (208) 785-1326
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- A to Z Family Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | LMSW-30276 | ID | Yes |
Addresses
Primary practice location
44 N Main
Malad, ID 83252
Mailing address
44 N Main St
Malad City, ID 83252-1200
Phone (208) 766-2389
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700036019 | Medicaid | ID |
Other providers in Malad, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.